Innovative Neontal Solutions LLC

Organization Active NPI Home Health Agency · Santa Clara, UT

NPI 1942935952 · NPPES record last updated Jul 22, 2022

Key facts

NPI
1942935952
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
INNOVATIVE NEONTAL SOLUTIONS LLC
Practice address
2545 Bella Vista Dr
Santa Clara, UT 84765-1207
Phone
(435) 817-7619
Fax
(435) 359-5171
NPI assigned
Jul 22, 2022
Organization subpart
No

Authorized official

Name
Kallan C Webster
Title
Owner
Phone
(435) 817-7619

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

2545 Bella Vista Dr
Santa Clara, UT 84765-1207

Mailing address

2545 Bella Vista Dr
Santa Clara, UT 84765-1207
Phone (435) 817-7619

Other names

  • Desert Oak Phototherapy Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://desertoakphototherapy.com/

Other providers in Santa Clara, UT

All providers in Santa Clara, UT · Home Health Agency in Utah

Sources for this page

Verify at the official NPI Registry.